| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,516 |
19,669 |
$741K |
| 95911 |
|
2,998 |
2,851 |
$556K |
| 95886 |
|
3,643 |
3,464 |
$502K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,422 |
5,312 |
$321K |
| 64493 |
|
1,551 |
975 |
$174K |
| 64490 |
|
1,261 |
759 |
$164K |
| 64483 |
|
1,287 |
1,099 |
$149K |
| 95913 |
|
579 |
578 |
$146K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,680 |
1,673 |
$122K |
| 64484 |
|
817 |
796 |
$100K |
| 64494 |
|
1,375 |
955 |
$98K |
| 64491 |
|
1,070 |
739 |
$86K |
| 64635 |
|
417 |
362 |
$64K |
| 77002 |
|
805 |
564 |
$34K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
303 |
301 |
$30K |
| 64633 |
|
174 |
160 |
$30K |
| 64479 |
|
155 |
136 |
$22K |
| 64480 |
|
129 |
119 |
$19K |
| 95812 |
|
229 |
229 |
$18K |
| 20610 |
|
790 |
552 |
$14K |
| 64636 |
|
239 |
231 |
$11K |
| 64615 |
|
83 |
81 |
$9K |
| 20553 |
|
181 |
174 |
$8K |
| J7321 |
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose |
105 |
42 |
$8K |
| 80305 |
|
701 |
690 |
$7K |
| 20611 |
|
266 |
214 |
$7K |
| 64634 |
|
118 |
113 |
$7K |
| J3490 |
Unclassified drugs |
1,137 |
1,081 |
$6K |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
579 |
557 |
$6K |
| 76942 |
|
104 |
102 |
$5K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,527 |
1,467 |
$5K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
726 |
700 |
$3K |
| 20606 |
|
73 |
69 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
64 |
64 |
$2K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
112 |
104 |
$970.39 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
450 |
430 |
$408.45 |